Negative Pressure Wound Therapy - A Multi-Centered Randomized Control Trial

Use of Incisional Negative Pressure Wound Dressing Versus Standard Dry Gauze Dressing for Wound Closure in Patients Undergoing Spinal Surgery - A Multicentre Randomized Control Trial

Children with neuromuscular disorders such as cerebral palsy, children with kyphosis and post-traumatic scoliosis have higher infection rates after scoliosis surgery than healthy children who undergo scoliosis surgery. The purpose of our study is to compare the effect of NPWT on infection rates when compared to standard gauze dressing. Participants will be randomized to the "NPWT" or "standard dressing" group. We will compare infection rates between the two groups. We hypothesize participants in the "NPWT" group will have a lower infection rate.

Inclusion Criteria:

• Male or female
• Consent/assent to participate in the study
• Undergoing posterior spinal surgery categorized as High-Risk for infection, defined as greater than 4% risk of deep or superficial infection based previous reported literature. Procedures qualifying for study are listed below:
• Kyphosis (any type)
• Posttraumatic Scoliosis
• Neuromuscular Scoliosis

Exclusion Criteria:

• Previous incisions over the operative site
• History of keloid formation
• Allergy to tape
• Does not consent/assent to participate in the study
• Previous or Active Spinal infection
• Dural tear
• Hemophiliac
• Two Stage procedure
• Unable to follow standard antibiotic protocols